Covered Entity Details

CH10130P HEALTHPOINT (Active) - information as of 5/4/2025 10:21:24 PM

Main Details

Name

HEALTHPOINT

Subdivision Name

HealthPoint Midway

Type

HRSA-Funded Health Center

Site ID

BPS-H80-011776

340B ID

CH10130P

Grant Number

H80CS00360

Additional Details

Current Program Status

Active

Registration Date

4/5/2013

Participating Start Date

7/1/2013

Participating Approval Date

5/23/2013

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

HealthPoint
Vicki Hammond, CFO
(425) 277-1311

Primary Contact

Healthpoint
Keith Sinay, Vice President Pharmacy Services
(425) 277-1311

Addresses

Street Address

26401 Pacific Hwy S
Des Moines, WA 98198-9247

Billing Address

HealthPoint
955 Powell Ave SW
Renton, WA 98057-2908

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
WA	2031142,2132920,1045111,2057171,2023226,2017684,1044911,2033867,2048673,2036797,2017562	1144710922,1366709313,1780026880,1659387942,1699140368,1417212911,1336415108,1609093533,1245666221,1265816532,1770995722

Shipping Addresses

Shipping Address 1

HealthPoint Midway Pharmacy
26401 Pacific Hwy S
Suite 102
Des Moines, WA 98198

Shipping Address 2

HealthPoint Central Fill Pharmacy
947 Powell Ave SW
Suite 100
Renton, WA 98057

Shipping Address 3

HealthPoint Specialty Pharmacy
947 Powell Ave SW
100B
Renton, WA 98057

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CH10130A	Active	BPS-H80-004041	HEALTHPOINT	HealthPoint Auburn	126 AUBURN AVE		AUBURN	WA
CH10130AA	Active	BPS-H80-000429	HEALTHPOINT	HealthPoint Administration	955 Powell Ave SW		Renton	WA
CH10130AB	Active	BPS-H80-030994	HEALTHPOINT	HealthPoint Administration 841	841 Powell Ave SW		Renton	WA
CH10130AC	Active	BPS-H80-036054	HEALTHPOINT	HealthPoint Highline Campus Health Center	225 S 152nd St		Burien	WA
CH10130AD	Active	BPS-H80-038342	HEALTHPOINT	HealthPoint Auburn North Annex	915 Auburn Way N STE B		Auburn	WA
CH10130AE	Active	BPS-H80-013466	HEALTHPOINT	HealthPoint Travel Clinic	947 Powell Ave. S.W. STE 100		Renton	WA
CH10130AF	Active	BPS-H80-035751	HEALTHPOINT	HealthPoint Specialty Services Clinic	947 Powell Ave SW STE 100B		Renton	WA
CH10130B	Active	BPS-H80-000832	HEALTHPOINT	HealthPoint Kent	403 E Meeker St		KENT	WA
CH10130C	Active	BPS-H80-004359	HEALTHPOINT	HealthPoint Renton	200 S 2ND ST		RENTON	WA
CH10130D	Active	BPS-H80-000388	HEALTHPOINT	HealthPoint Federal Way	33431 13TH Pl S		FEDERAL WAY	WA
CH10130E	Active	BPS-H80-036996	HEALTHPOINT	HealthPoint Redmond	16255 NE 87th St STE 150		REDMOND	WA
CH10130F	Active	BPS-H80-010145	HEALTHPOINT	HealthPoint Bothell	10414 Beardslee Blvd		Bothell	WA
CH10130G	Terminated	BPS-H80-004908	HEALTHPOINT	AUBURN COMMUNITY DENTAL CENTER	126 AUBURN AVE	SUITE 100	AUBURN	WA
CH10130H	Terminated	BPS-H80-031766	HEALTHPOINT	HealthPoint Redmond-KFP	8301 161st Ave NE Suite 103		REDMOND	WA
CH10130J	Active	BPS-H80-001233	HEALTHPOINT	HEALTHPOINT SEATAC	4040 S 188th St STE 201		Seatac	WA
CH10130K	Terminated	BPS-H80-002353	HEALTHPOINT	HEALTHPOINT KENT DENTAL	403 E Meeker St	STE 100	Kent	WA
CH10130L	Terminated	BPS-H80-005096	HEALTHPOINT	HealthPoint Tyee SBHC	4424 S. 188TH STREET		SEA TAC	WA
CH10130M	Active	BPS-H80-013856	HEALTHPOINT	HealthPoint Tukwila	13030 MILITARY RD. S. STE. 200		Tukwila	WA
CH10130N	Active	BPS-H80-012162	HEALTHPOINT	HealthPoint Evergreen SBHC	830 SW 116th St BLDG 200 East		Seattle	WA
CH10130P	Active	BPS-H80-011776	HEALTHPOINT	HealthPoint Midway	26401 Pacific Hwy S		Des Moines	WA
CH10130Q	Active	BPS-H80-016950	HEALTHPOINT	HealthPoint Auburn North	923 Auburn Way N		Auburn	WA
CH10130R	Terminated	BPS-H80-012772	HEALTHPOINT	HealthPoint Valley Cities Auburn	2704 I St NE		Auburn	WA
CH10130S	Terminated	BPS-H80-012717	HEALTHPOINT	HealthPoint Valley Cities Kent	325 W. Gowe St.		Kent	WA
CH10130T	Active	BPS-H80-020991	Healthpoint	HealthPoint School-based Health Clinic Renton High School	400 S. 2nd St		Renton	WA
CH10130U	Terminated	BPS-H80-021552	Healthpoint	The Cynthia A. Greene Family Center	12704 76th Ave S		Seattle	WA
CH10130V	Active	BPS-H80-024939	Healthpoint	HealthPoint Kent Urgent Care	219 State Ave N		Kent	WA
CH10130W	Active	BPS-H80-031281	Healthpoint	HealthPoint at Sunset Neighborhood Center	2902 NE 12th St Ste 102		Renton	WA
CH10130X	Active	BPS-H80-031733	Healthpoint	HealthPoint TAF@Saghalie Campus Health Center	33914 19th Ave SW		Federal Way	WA
CH10130Y	Active	BPS-H80-033705	Healthpoint	Thomas Jefferson Health Center	4248 S 288th St		Auburn	WA
CH10130Z	Active	BPS-H80-036754	HEALTHPOINT	HealthPoint at Family First Community Center	16200 116th Ave SE		Renton	WA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH10130A	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/01/2020
CH10130A	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/01/2020
CH10130A	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2020
CH10130A	ACCREDO HEALTH GROUP INC	22623 68TH AVE S		KENT	WA	98032-1981	10/01/2024
CH10130A	ACCREDO HEALTH GROUP, INC.	11411 STRANG LINE RD	STE A	LENEXA	KS	66215	10/01/2020
CH10130A	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2020
CH10130A	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/01/2020
CH10130A	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	10/01/2020	10/09/2024
CH10130A	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	01/01/2025
CH10130A	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2021
CH10130A	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2021
CH10130A	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2021
CH10130A	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2021
CH10130A	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2021
CH10130A	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2021
CH10130A	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2021
CH10130A	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2021
CH10130A	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2021
CH10130A	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/01/2021
CH10130A	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2021
CH10130A	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/01/2021
CH10130A	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	04/01/2021
CH10130A	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/01/2021
CH10130A	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/01/2021
CH10130A	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2926	1001 MADISON ST.	SEATTLE	WA	98104	04/01/2021
CH10130E	QFC #860/REDMOND	8867 161ST AVENUE NE		REDMOND	WA	98052	02/15/2003	01/01/2016

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/29/2024 12:36:19 PM	2/10/2025 12:02:16 PM	2/10/2025 12:02 PM
Contacts	Authorizing Official	Update	Profile Change Request	Hammond, Vicki CFO HealthPoint 4252030416-44116	Hammond, Vicki CFO HealthPoint 4252771311	5/10/2024 3:05 PM
Details	Last Recertification Date	Update	Recertification	1/30/2023 12:04:42 PM	1/29/2024 12:36:19 PM	1/29/2024 12:36 PM
Details	Last Recertification Date	Update	Recertification	2/16/2022 9:56:52 AM	1/30/2023 12:04:42 PM	1/30/2023 12:04 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		1045111	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		2057171	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		2023226	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		2017684	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		1044911	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		2033867	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		2048673	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		2036797	11/29/2022 11:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1659387942	11/29/2022 11:41 AM
Medicaid Billing	NPI: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1699140368	11/29/2022 11:41 AM
Medicaid Billing	NPI: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1417212911	11/29/2022 11:41 AM
Medicaid Billing	NPI: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1336415108	11/29/2022 11:41 AM
Medicaid Billing	NPI: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1609093533	11/29/2022 11:41 AM
Medicaid Billing	NPI: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1245666221	11/29/2022 11:41 AM
Medicaid Billing	NPI: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1265816532	11/29/2022 11:41 AM
Medicaid Billing	NPI: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1770995722	11/29/2022 11:41 AM
Medicaid Billing	NPI: State	Insert	Change Request		WA	11/29/2022 11:41 AM
Details	Entity Subname	Update	Change Request	MIDWAY COMMUNITY HEATLH CENTER	HealthPoint Midway	11/7/2022 8:52 AM
Details	Last Recertification Date	Update	Recertification	2/19/2021 1:25:51 PM	2/16/2022 9:56:52 AM	2/16/2022 9:56 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1780026880 ( )		2/19/2021 1:25 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1144710922 ( )		2/19/2021 1:25 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1144710922	2/19/2021 1:25 PM
Medicaid Billing	NPI: State	Insert	Recertification		WA	2/19/2021 1:25 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1366709313	2/19/2021 1:25 PM
Medicaid Billing	NPI: State	Insert	Recertification		WA	2/19/2021 1:25 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1780026880	2/19/2021 1:25 PM
Medicaid Billing	NPI: State	Insert	Recertification		WA	2/19/2021 1:25 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1366709313 ( )		2/19/2021 1:25 PM
Details	Last Recertification Date	Update	Recertification	2/17/2020 5:05:49 PM	2/19/2021 1:25:51 PM	2/19/2021 1:25 PM
Contacts	Primary Contact	Update	Profile Change Request	Sinay, Keith Pharmacy Director Healthpoint 4252771311	Sinay, Keith Vice President Pharmacy Services Healthpoint 4252771311	2/18/2021 11:21 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	7/22/2020 1:21 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		2132920	7/22/2020 1:21 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		WA	7/22/2020 1:21 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1144710922	7/22/2020 1:21 PM
Details	Last Recertification Date	Update	Recertification	1/29/2019 3:32:54 PM	2/17/2020 5:05:49 PM	2/17/2020 5:05 PM
Addresses	Shipping Address	Insert	Change Request		HealthPoint Specialty Pharmacy 947 Powell Ave SW 100B Renton, WA 98057	11/20/2019 10:36 AM
Details	Last Recertification Date	Update	Recertification	2/8/2018 12:39:18 PM	1/29/2019 3:32:54 PM	1/29/2019 3:32 PM
Addresses	Shipping Address	Delete	Change Request	HealthPoint Midway Community Health Center 26401 Pacific Hwy S, Ste 200 Des Moines, WA 98198		3/7/2018 8:03 AM
Details	Is Authorizing Official EHB Data	Update	Change Request	False		3/7/2018 8:03 AM
Details	Last Recertification Date	Update	Recertification	1/30/2017 12:00:00 AM	2/8/2018 12:39:18 PM	2/8/2018 12:39 PM
Contacts	Authorizing Official	Update		Hammond, Vicki CFO 4252030416-44116	Hammond, Vicki CFO HealthPoint 4252030416-44116	10/14/2017 5:34 PM
Contacts	Primary Contact	Update		Sinay, Keith Pharmacy Director 4252771311	Sinay, Keith Pharmacy Director Healthpoint 4252771311	10/3/2017 2:40 PM
Contacts	Primary Contact	Update		Ramento, Valerie Pharmacy Operations Manager 4252771311	Sinay, Keith Pharmacy Director 4252771311	6/1/2017 8:40 AM
Contacts	Authorizing Official	Insert			Hammond, Vicki CFO 4252030416-44116	6/1/2017 8:40 AM
Contacts	Signed By	Insert			Wilkinson, Debra COO 4252030444	5/30/2017 2:47 PM
Addresses	Main Address	Insert			26401 Pacific Hwy S Des Moines, WA 98198-9247	5/30/2017 2:46 PM
Addresses	Billing Address	Insert			HealthPoint 955 Powell Ave SW Renton, WA 98057-2908	5/30/2017 2:46 PM
Addresses	Shipping Address	Insert			HealthPoint Central Fill Pharmacy 947 Powell Ave SW Suite 100 Renton, WA 98057	5/30/2017 2:46 PM
Addresses	Shipping Address	Insert			HealthPoint Midway Pharmacy 26401 Pacific Hwy S Suite 102 Des Moines, WA 98198	5/30/2017 2:46 PM
Addresses	Shipping Address	Insert			HealthPoint Midway Community Health Center 26401 Pacific Hwy S, Ste 200 Des Moines, WA 98198	5/30/2017 2:46 PM
Details	Last Recertification Date	Update		2/26/2016 12:00:00 AM	1/30/2017 12:00:00 AM	1/30/2017 6:36 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	10/19/2016 8:35 PM
Medicaid Billing	Medicaid: Number	Insert			2017562	10/19/2016 8:35 PM
Medicaid Billing	Medicaid: State	Insert			WA	10/19/2016 8:35 PM
Medicaid Billing	NPI: Number	Insert			1366709313	10/19/2016 8:35 PM
Contacts	Primary Contact	Insert			Ramento, Valerie Pharmacy Operations Manager 4252771311	10/17/2016 8:09 PM
Details	Last Recertification Date	Update		3/4/2015 12:00:00 AM	2/26/2016 12:00:00 AM	2/26/2016 5:39 PM
Medicaid Billing	Medicaid: Number	Update		2017562	2031142	3/4/2015 2:07 PM
Medicaid Billing	NPI: Number	Update		1366709313	1780026880	3/4/2015 2:07 PM
Details	Last Recertification Date	Update		3/13/2014 12:00:00 AM	3/4/2015 12:00:00 AM	3/4/2015 2:07 PM
Details	Is Authorizing Official EHB Data	Update			False	3/4/2015 2:07 PM
Details	Last Recertification Date	Update			3/13/2014 12:00:00 AM	3/13/2014 12:40 PM
Details	Entity Subname	Update		HealthPoint Midway	MIDWAY COMMUNITY HEATLH CENTER	7/16/2013 8:23 AM
Details	340B ID	Update		IS-FN-CH10130P	CH10130P	5/23/2013 3:45 PM
Dates	Participating Approval Date	Update			5/23/2013 12:00:00 AM	5/23/2013 3:45 PM
Details	State	Update		Pending	Active	5/23/2013 3:45 PM
Dates	Start Date	Update			7/1/2013 12:00:00 AM	5/23/2013 3:45 PM
Details	340B ID	Update		ONLINE_REG	IS-FN-CH10130P	4/27/2013 4:06 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	4/5/2013 8:29 PM
Medicaid Billing	Medicaid: Number	Insert			2017562	4/5/2013 8:29 PM
Medicaid Billing	Medicaid: State	Insert			WA	4/5/2013 8:29 PM
Medicaid Billing	NPI: Number	Insert			1366709313	4/5/2013 8:29 PM
Details	Last Recertification Date	Insert				4/5/2013 8:29 PM
Details	Grant Number	Insert			H80CS00360	4/5/2013 8:29 PM
Details	340B ID	Insert			ONLINE_REG	4/5/2013 8:29 PM
Details	Is Authorizing Official EHB Data	Insert				4/5/2013 8:29 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/5/2013 8:29 PM
Details	Medicare Provider Number	Insert				4/5/2013 8:29 PM
Details	Entity Name	Insert			HEALTHPOINT	4/5/2013 8:29 PM
Details	Program Code	Insert			CH	4/5/2013 8:29 PM
Details	Entity Subname	Insert			HealthPoint Midway	4/5/2013 8:29 PM
Dates	Participating Approval Date	Insert				4/5/2013 8:29 PM
Details	State	Insert			Pending	4/5/2013 8:29 PM
Dates	Registration Date	Insert			4/5/2013 12:00:00 AM	4/5/2013 8:29 PM
Dates	Signed By Date	Insert			4/5/2013 12:00:00 AM	4/5/2013 8:29 PM
Dates	Start Date	Insert				4/5/2013 8:29 PM
Terminations	Termination Comments	Insert				4/5/2013 8:29 PM
Terminations	Termination Date	Insert				4/5/2013 8:29 PM
Terminations	Termination Effective Date	Insert				4/5/2013 8:29 PM
Terminations	Termination Reason	Insert				4/5/2013 8:29 PM

340B Drug Pricing Program Database